Individual
BRITNEY FAWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-4207
(405) 741-0036
Mailing address
100 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-4207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17275
PHARMACIST
OK
Enumeration date
10/17/2017
Last updated
10/17/2017
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